Billing Account Representative

CompuNet Clinical Laboratories, LLC; Moraine (OH); Hybrid; USD 36,000 - 48,000; Full time

Job summary

CompuNet Clinical Laboratories, LLC in Moraine, OH is seeking a detail-oriented Billing Clerk for our Core Lab with a full-time day shift (8:00 AM-5:00 PM) and remote shift availability. The role focuses on processing accounts, cash application, batch processing, and handling adjustments while maintaining positive relationships with patients, clients, and third party payers.

Under the Billing Department Manager, you will ensure accurate posting, refunds when needed, and review of payer

Qualifications

• High school diploma or equivalent required.
• Previous experience in medical billing environment preferred.
• Knowledge of Medicare and other third party claims processing, ICD-10 and HCPCS/CPT coding and medical terminology highly desirable.

Responsibilities

• Maintain organized workflow to allow efficient processing of accounts and to enable smooth transition of job duties during absences.
• Follow department standard processes. Consult with immediate supervisor when questions regarding appropriate account processing arise.
• Exhibit good customer service skills when dealing with internal and external customers. Project a positive image of the department and organization.
• Actively engage in behaviors that foster teamwork within the department and organization.
• Meet or exceed department standards for quantity and quality of work.
• Possess working knowledge of relevant compliance regulations. Effectively apply this knowledge to daily job duties.
• Comply with all departmental, company and regulatory policies and procedures.
• Maintain statistical data as required.
• Additional duties and projects as assigned.

Skills

Communication

Data entry

Multitasking

Customer service

Education

High school diploma

Job description

Located at Core Lab (Moraine, OH)/Remote Shift Availability

Full-Time Day Shift (8:00 AM-5:00 PM)

Position Summary:

Under the supervision of the Billing Department Manager: perform the daily account processing tasks of the Billing Department including cash application, batch processing, account adjustments/refunds; Maintain positive internal and external working relationships with patients, clients and third party payers.

Essential Duties and Responsibilities as Assigned:

• Maintain organized workflow to allow efficient processing of accounts and to enable smooth transition of job duties during absences.
• Follow department standard processes. Consult with immediate supervisor when questions regarding appropriate account processing arise.
• Exhibit good customer service skills when dealing with internal and external customers. Project a positive image of the department and organization.
• Actively engage in behaviors that foster teamwork within the department and organization.
• Meet or exceed department standards for quantity and quality of work.
• Possess working knowledge of relevant compliance regulations. Effectively apply this knowledge to daily job duties.
• Comply with all departmental, company and regulatory policies and procedures.
• Maintain statistical data as required.
• Additional duties and projects as assigned.

Specific Departmental Job Duties as Assigned:

• Ability to accurately perform order entry.
• Strong communication skills needed for collaboration with both internal and external departments as well as patient/client calls.
• Batch incoming payments for posting to patient and physician accounts. Report deposit discrepancies to bank. Maintain report of posted and in-transit cash for Accounting Department.
• Apply payment detail to client and patient accounts, including contractual disallowances, and patient copays/deductibles.
• Review over payments, initiating refunds or correcting misapplied payments as appropriate.
• Knowledge of reading and understanding various payer’s Explanation of Benefits.
• Ability to handle fast paced, high call volume environment with above average multi-tasking skills.
• Process incoming patient mail and telephone inquiries accurately and in a timely fashion as outlined in the Department SOP.
• Possess strong focus on positive customer impact. Utilize verbal and written communication effectively.
• Review bankruptcy notices performing appropriate write-offs of outstanding accounts; maintain bankruptcy files.
• Research collection accounts as requested by patients or collection agencies.
• Review system error codes and make corrections to accounts.

Qualifications:

• High school graduate or equivalent required.
• Previous experience in medical billing environment preferred.
• Working knowledge of Medicare and other third party claims processing, ICD-10 and HCPS/CPT coding and medical terminology highly desirable.

Physical and Safety Demands:

• Visual acuity and hand-finger dexterity to work at computer for extended periods.
• Sit at computer work station for extended periods.
• Sound reasoning ability and independent judgment.
• Ability to work within specified deadlines and timetables.
• Excellent communication and people skills.
• Handle stressful situations in a calm manner.
• Will not have exposure to biohazard substances and hazardous chemicals.
• Be familiar with and adhere to safety, ergonomic and health policies of the Company.
• Comply with all PPE requirements when in the laboratory or other biohazard areas.
• Complete required safety training and health evaluations in a timely manner.
• Anticipate safety hazards, act upon unsafe situations and promote safety awareness.